How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $977.24 Median $3,715.35 Typical High $5,623.41 | Facility | None | $977.24 | $3,715.35 | $5,623.41 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $181.97 Typical High $199.53 | Professional | None | $102.33 | $181.97 | $199.53 |
BCBS Arizona Setting Facility Modifier None Typical Low $416.87 Median $977.24 Typical High $2,570.40 | Facility | None | $416.87 | $977.24 | $2,570.40 |
BCBS Arizona Setting Professional Modifier None Typical Low $123.03 Median $269.15 Typical High $338.84 | Professional | None | $123.03 | $269.15 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $758.58 Typical High $1,659.59 | Facility | None | $512.86 | $758.58 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $181.97 Typical High $251.19 | Professional | None | $102.33 | $181.97 | $251.19 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $851.14 Typical High $3,630.78 | Facility | None | $199.53 | $851.14 | $3,630.78 |
Medica Setting Professional Modifier None Typical Low $186.21 Median $851.14 Typical High $1,621.81 | Professional | None | $186.21 | $851.14 | $1,621.81 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,174.90 Typical High $4,897.79 | Facility | None | $501.19 | $1,174.90 | $4,897.79 |
United Setting Professional Modifier None Typical Low $100.00 Median $169.82 Typical High $234.42 | Professional | None | $100.00 | $169.82 | $234.42 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $83.18 Typical High $100.00 | Professional | 52 · Reduced service | $51.29 | $83.18 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $33.11 Typical High $39.81 | Professional | 53 · Discontinued | $20.42 | $33.11 | $39.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $75.86 Median $125.89 Typical High $151.36 | Professional | 54 · Surgery only | $75.86 | $125.89 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $25.12 Typical High $30.20 | Professional | 55 · Aftercare only | $15.14 | $25.12 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $16.60 Typical High $19.95 | Professional | 56 · Pre-op care only | $10.23 | $16.60 | $19.95 |
Where Arizona sits
The same service costs 3.8 times more in Alaska than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Arizona· 32nd of 51
$200
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.